Model withdrawal form

Model withdrawal form


Model withdrawal form


(If you want to cancel the contract, please fill out this form and send it back.)

MAGNEGY Distributions GmbH 

Service  for Energetix 4You S.L

Obenhauptstr. 7

22335 Hamburg

 

Hereby give notice (s) I / We (*) withdraw from my / our (*) contract entered into for the purchase of the following products (*) / provision of the following services (*)

.................................................. .................................................. .................................................. .......................

Appointed on: ................. (*) / received on: ....................

(*) Name: ....................................... .................................................. ...............................


Address of: .......................................... .................................................. ...........................................

Signature: ......................................... .................

(Only with message on paper)

Date: ................................................ ..........

(*) Delete as appropriate.


Model withdrawal form